NPI | 1417357831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008737) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY APN3008737) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2020-10-26 |